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FIESTA DE CARNIVAL-2017
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FIESTA DE CARNIVAL-2017
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Last modified
3/27/2020 9:31:31 AM
Creation date
4/13/2017 5:10:20 PM
Metadata
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Contracts
Company Name
FIESTA DE CARNIVAL
Contract #
A-2015-188-04
Agency
Parks, Recreation, & Community Services
Council Approval Date
2/3/2015
Expiration Date
2/2/2018
Insurance Exp Date
5/27/2017
Destruction Year
2022
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Ac<> y� DATE (MWDDNYYY# <br />s.' CERTIFICATE �F LIABILITY INSURANCE F3/3/2027 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR .ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed, If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder In lieu of such endorsement(s), <br />PRODUCER CONTACT Christine Nidal <br />Governor insurance Agency, Inc. PHONE <br />d�e..l x#).(330)539-9999 PAX ;_LARLN (3so#ss9 9990 <br />972 Youngstown -Kingsville Rd. <br />APO.-..$;_._.....—_... _.__._. __. <br />P.O. Sox 770 INSURERS) AFPOROINO COVERAGE NAIC <br />Vienna Oil 44473 <br />-------------p-._.__.—�-,-iN3k1RERA.1t^TSp�aialty LLC <br />INSURED �r INSUNER._...... <br />international Promotions, inc.A-2015-18B-02 INSURER <br />Siesta de Carnival A-2015-188-01 INSURERo: - <br />11278 Los Alamitos Blvd INSURERS: __--------.—._. <br />Loa aamitols CA 90720 INSU <br />r.nVF12AnP:q rF:RTIFIr:ATF. Nl IMRFR-CL166108412 RPVI?i1()N NI)M13FR- <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN <br />MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />.__.._........._._...____._.__..-?A13OL;$UBR <br />LTg, TYPE OF INSURANCE PO ICY <br />POLICY EFF i POLICVEX ! LIMITS <br />NUMBER tI Q Y <br />X COMMERCIAL GENERAL LIABILITYI <br />EACH OCCURRENCE <br />$ 1, 000 , 000 <br />A _ CLAIMS -MAD EX ;OCCUR <br />PREMISES (Ea occurranca�_._..$._. <br />100,000 <br />7C i VBA457676 <br />5/27/2616 ' 5/27/2017 MEO EXP (Any ane psrsan# <br />$ Nx�ludsd <br />PERSONAL & ADV INJURY <br />15 11000,000 <br />N% AGGREGATE UWTAPALIEaFIER: <br />GENERAL AGGREGATE <br />( s 2,000,000 <br />1 POLICY dE qT LOC <br />C <br />PRODUCTS • COMPIOP AGG <br />$ 2,000,000 <br />AUTOMOBILE LIABILITY <br />— <br />COMBINED SINGLE LIMIT <br />_(Ea aaclttenl# <br />3 <br />ANY AUTO <br />; BODILY INJURY (pot person) <br />S <br />_ <br />AUTO ALLOWNED AUTOSULED <br />I 3 NON•OWNED <br />1300ILYINJURY (Per aCcfdCnt)fi$ -- <br />, _..__...._ <br />I PROPERTY DAMAGE <br />HIRED AUTOS ? AUTOS <br />-- -.. <br />UMBRELLA LAS OCCUR <br />�`j '^ EACH OCCURRENCE <br />EXCESS UAB`CLAIMS-MACF <br />_....._._.._. <br />�i,�J 1 AGGREGATE <br />V <br />DED RETENTION <br />$ <br />'WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />I ` <br />,alz <br />YIN <br />ANY PROPRIETORIPARTNEWCXEC VVE <br />OFMCERIMEMBER EXCLUDED? L-1 <br />NIA:i <br />p'`� <br />t.J `.� ELL, EACH ACCIDENT �S <br />(Mandatory In NH) <br />E.L.DISEASE _ EA EMPLOYEE $ <br />_ - <br />If es, describe underf <br />DESCRIPTION OF OPERAT€ONS befavr111;1E.L. <br />DISEASE -POLICY LIMIT <br />$ <br />1 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 1111, Additional Remarks Schedute, may ba attached K more space Is required? <br />Certificate holder is named as additional insured per the attached CG 2026 form <br />City of Santa Ana <br />20 Civic Coater Dr. <br />Santa Ana, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />Thompson, Jr/CNIDELt�yaas--- <br />01988-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />INS026 r9mdrrl s <br />
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